Isimo Sezokwelashwa Esijwayelekile Esibizwa Ngamanzi Ukuzifola Kwegazi
Iyini i-Water Urticaria (i-Aquagenic Urticaria)?
I-urticaria yamanzi, eyaziwa nangokuthi i-urticaria ye-aquagenic (AU) noma amanzi okungahambi kahle komzimba, yisimo esingavamile sezokwelapha lapho imifuba ikhula ngokushesha esikhumbeni ngenxa yokuxhumana namanzi (urticaria ngokomzimba).
I-urticaria yamanzi ingenzeka kungakhathaliseki ukuthi imithombo yamanzi, akunandaba ukuthi amanzi ashisayo noma abanda, noma uma ephathwa ngamakhemikhali.
Ngabe amanzi aphikisana naso sonke isikhathi?
Njengoba i-urticaria yamanzi ingenzeka nganoma imuphi umsebenzi lapho amanzi ahlangana khona nesikhumba sakho, lokhu kungezwani komzimba kungenzeka ngokugeza, ukubhukuda noma ukuphuma ngaphandle kwezulu. Ezinye iziguli ezinamanzi we-urticaria zithola ukusabela uma zihlangana namanzi abaphuzayo.
Ngaphandle kwemithombo yamanzi yangaphandle, izihlahla zingase zenzeke ekuphenduleni ukuthuthumela kanye nezinyembezi.
Abesifazane abaningi kunabesilisa abathintekayo nale nkinga eqala ukuqala kokuqala kokukhulelwa. Ngenxa yokuthi isimo singavamile, akukho ukuqonda okucacile imbangela noma ukusebenza kokwelashwa.
Iyini i-Physical Urticaria?
Amanzi yisinye sezici ezingokwenyama ezingabangela imifantu, futhi kucatshangwa ukuthi amaphesenti ayisithupha kuya kwangu-17 emifuba ahlukanisa ngokuthi "urticaria ngokomzimba." Ngaphezu kwamanzi, imihlathi isaziwa ukuthi iyenzeka ekuphenduleni amakhaza, ukucindezela, ukudlidliza, ukukhanya kwelanga, ukuvivinya umzimba, izinguquko zokushisa, nokushisa.
Kubonakala sengathi kukhona i-subtype ehlukile ye-aquticenic urticaria lapho imifantu ivele khona lapho isabela ngamanzi usawoti.
Izimpawu Zamanzi E-Urticaria
Imifantu (i-urticaria) ehlotshaniswa ne-urticaria yamanzi ingencane futhi ivame ukukhula entanyeni yakho, esihlalweni esingaphezulu nasezingalweni, kodwa ingavela noma kuphi emzimbeni wakho.
Ngokufanayo nezinye izinhlobo ze-urticaria, izimpawu zamanzi urticaria zihlanganisa:
- Itching
- Ukuvutha kwenzwa
- Amagqabha esikhumba (ama-hives) aphakanyisiwe - Ama-hives ngokuvamile amancane, njengoba kuphawuliwe, kuphela amamitha angu-1 kuya kwangu-3 ububanzi abuzwe u-1 kuya ku-3 ububanzi bamamitha ububanzi (i-flare)
- Isikhumba esiphelile
- Ngezinye izikhathi izihlahla zomzimba zihlanganiswa nezimpawu zomzimba (ohlelweni) ezifana nokugubha noma ukuphefumula
Emva kokuchayeka kwento equkethe amanzi, izimpawu kufanele zivele ngokushesha (kungakapheli imizuzu engu-30). Ngemuva kokuthi isikhumba sakho singasaxhumene namanzi, izimpawu kufanele zingaphansi kwemizuzu engama-30 kuya kwangu-60.
Ukuxilongwa kwe-Water Urticaria
U-urticaria wamanzi ngokuvamile uhlolwe ngudokotela wakho womndeni noma umqeqeshi we-internist oyokudlulisela ku- dermatologist noma i-allergen ukuze uqinisekise isimo sakho. Ngemuva kokuthatha umlando ophelele wezokwelapha, udokotela wakho cishe uzokwenza "ukuhlolwa kwenselele yamanzi" lapho amanzi azobekwa khona esikhwameni sakho ukuze abone ukuthi kukhona ukusabela.
Udokotela wakho uzokwenza ukuhlolwa ngokucophelela nokuhlolwa kwegazi ukulawula ezinye izimo noma izifo. Abanye abantu bangase bathuthukise imifantu ngezizathu eziningana ezingaba khona; ukwenza ukuthi ukuxilongwa kunzima kakhulu.
Isizathu Esiyisisekelo - I-Pathophysiology
Akuqiniseki kahle ukuthi iyiphi indlela eyabangela ukungezwani kwamanzi.
Kubonakala sengathi ingxenye yempendulo ihlobene nokukhululwa kwe-histamine (njengokungenwa kwesisu, isibonelo) kodwa kunezinye izindlela zokusebenza.
Kungase kube nesici sezakhi zofuzo kuleso simo, futhi kwezinye izimo sitholakale sisebenza emindenini.
Ukwelashwa kwamanzi e-Urticaria
Ayikho ikhambi ye-urticaria yamanzi kodwa kunezinye izindlela zokwelapha ezingakunikeza usizo. Ezinye zezokwelapha zihlanganisa:
Imithi - Nakuba i- antihistamine yesizukulwane sokuqala efana ne-Vistaril (i-hydroxyzine) ne-Benadryl (i-diphenhydramine) ingase ibe usizo, ingahle idlwengulwe kakhulu. Ngakho-ke, ukwelashwa okukhethwa yi-antihistamine yesizukulwane sesibili njenge- Zyrtec (cetirizine) ne-Xyzal (levocetirizine) okungenakukwazi ukuhlala.
Lokho kusho ukuthi le mithi yodwa ayinamandla okwanele ukulawula zonke izimpawu.
Imithi ye- Xolair (omalizumab) esetshenziselwa i-asthma nayo itholakale iyasebenza kwabanye abantu.
Ezinye izindlela zokwelashwa - Kukhona ubufakazi bokuthi ukusebenzisa ukhilimu oqukethe i-petrolium njengesibambiso phakathi kwesikhumba sakho namanzi kungasebenza uma izimpawu zingalawulwa yi-antihistamine therapy. Ezinye izindlela zokwelashwa eziye zazanywa zibandakanya i-phototherapy, i-anabolic steroids, ukugeza ezinkingeni ze-sodium bicarbonate, kanye ne-beta blockers.
Wena nodokotela wakho kuzodingeka uzame izinhlelo ezahlukene zokwelapha ukuthola okulungile kuwe. Ngaphandle kwezokwelapha ezingenhla, okwamanje kunezivivinyo zemitholampilo (ucwaningo lwezokwelapha) oluqhubekayo uphenyo lwezokwelapha ezintsha nezincono.
Ukusekela Abantu abane-Aquagenic Urticaria
Kukhona amaqembu okusekela, amaqembu e-Facebook, kanye nokubhaliswa kwamahhala okucwaninga kazwelonke okuhlinzekwe ngezifo ezingavamile zezokwelapha. Ucwaningo oluningi lufuna abantu abanezifo ezithile ukusiza abacwaningi bafike ngezokwelapha eziphumelelayo.
Imithombo:
Arikan-Ayyildiz, A., Isik, S., Caglayan-Sozmen, S., Karaman, O., noN. Uzuner. I-Cold, i-Cholinergic ne-Aquagenic i-Urticaria ku-Izingane: Isethulo se-Three Cases nokubukezwa kweZincwadi. I-Turkish Journal ye-Pediatrics . 2013. 55 (1): 94-8.
Gallo, R., Goncalo, M., Cinotti, E., Cecchi, F., no A. Parodi. I-Urticaria e-Aquagenic e-Salt-Dependent etholakala endaweni yangakini: I-Subtype ye-Aquagenic Urticaria? . Dermatology Clinic and Testing . 2013. 38 (7): 754-7.
Rorie, A., no-S. Gierer. Udaba lwe-Aquagenic Urticaria lwenziwa kahle nge-Omalizumab. I-Journal of Ukuzivocavoca kanye ne-Immunology Clinic in Practice . 2016. 4 (3): 547-8.
URothbaum, R., noJ. McGee. I-Urticaria ye-Aquagenic: Izinselelo zokuxilonga nokuLawula. I-Journal of Asthma kanye Nokuzivocavoca . 2016. 9: 209-213.